Escolar Documentos
Profissional Documentos
Cultura Documentos
approaches and
anatomy
Landmarks
Dorsal veins
Osseous structures:
Ulnar head
Styloïds
Lister ++
Crucifixion fossa
Metacarpals
Landmarks
Compartments of tendons
Approaches
Between tendinous
compartments
Take care of subcutaneous
nerves
Radio-carpal approaches - 3/4 approach
Line Lister-M2,
1 cm under the 3/4, radial
side of EDC
In line with the UMC
Other arthroscopic approaches
Oblique introduction
Other approaches are made with transillumination and
guidance with a needle
What are the dangers ?
DANGERS Tendons Nerves Arteries
Voie 1/2 10 mm 3 mm 3 mm
Voie 3/4 8 mm 16 mm 26 mm
RL RS
RS
L ltl
T
P
R tfc
U
Arthroscopic
anatomy of
the radio-
carpal joint
TFCC
Medially: Triangular
ligament and pre-styloid
recess
Arthroscopic anatomy of
the radio-carpal joint
TFCC
Radiocarpal vision through 4/5 approach
Arthroscopic anatomy of
the radio-carpal joint
Tz
T
C
Posterior: Dorsal T
capsule, (extensor * S
L
*
tendons)
R
ECRB Ul
ECRL
Arthroscopic anatomy of
the mid carpal joint
Trapèze
scaphoïde
Dynamic Exploration of instability
(SL & LT) :
Midcarpal evaluation
3 stages of instability -Dautel (J
Hand Surg (B) 93)
or 4 stages - Geissler (Clin
Orthop 96)
Arthroscopic “Watson” test
Grade 0 Grade 3
Grade 1 Grade 2
Complications
Complications: A long list ! but their real frequency is
low
Fernandes CH, Meirelles LM, Raduan Neto J, dos Santos JB, Faloppa F, Albertoni WM.
Characteristics of global publications about wrist arthroscopy: a bibliometric analysis .
Hand Surg. 2012;17(3):311-5.